Skills Checklist - Infection Prevention RN

This Skills Checklist is a self-evaluation to assess your recent experience in various clinical settings focusing on the past 2 years.

0 = No Experience
1 = Some Experience
2 = Intermittent Experience
3 = Experienced
4 = Very Experienced

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AGE OF PATIENTS CARED FOR

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Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)

GENERAL SKILLS

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Standard Precautions
Isolation Precautions
Pediatric Respiratory/ Cardiac Arrest
Adult Respiratory/ Cardiac Arrest
Crash Carts
Defibrillators
Care of Patient in Restraints
Automated Med Dispensing Systems
Care Planning & Discharge Planning
Patient/Family Education
Electronic Documentation
Patient Head to Toe Assessment

CARDIOVASCULAR GENERAL SKILLS

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Auscultation (rate, rhythm, volume)
Blood Pressure/Invasive (arterial line)
Heart Sounds/Murmurs
Perfusion
Central Venous Pressure

INVASIVE HEMODYNAMIC MONITORING:

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Interpretation of Lab Results- CBC/Electrolytes
Defibrillation/Cardioversion
EKG Interpretation (Basic & Advanced)

CARDIOVASCULAR- CARE OF THE CHILD WITH:

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Bacterial Endocarditis
Congenital heart Disease/Defects Cardiac Arrest
Cardiac Transplant
Cardiogenic Shock
Cardiomyopathy
Hypovolemic Shock
Myocarditis
Post Cardiac Surgery
Post Interventional Cardiac Cath

MEDICATIONS KNOWLEDGE AND USE OF

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Dobutamine (Dobutrex)
Dopamine (Intropin)
Epinephrine (Adrenalin)
Nipride (Nitroprusside)
Nitroglycerine (Tridil)
Sodium Bicarbonate
Antiarrhythmics

RESPIRATORY GENERAL SKILLS

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Breath Sounds/Work of Breathing

OBTAINING BLOOD GASES:

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Arterial
Heelstick
Peripheral
Interpretation of ABG’s
Oximeter

AIRWAY MANAGEMENT:

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Assist with Intubation
Assist with Extubation

SUCTIONING:

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Bulb Syringe
Nasal Airway/Suctioning
Oral Airway/Suctioning
In-Line Suction
Open ET Catheter Suction
Tracheostomy/Suctioning
Apnea Monitor
Chest Physiotherapy

CHEST TUBE (ASSIST WITH):

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Insertion
Removal
ECMO (Extracorporeal Membrane Oxygenation)
End Tidal CO2

O2 THERAPY:

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Nasal Cannula
Bag & Mask
Isolette
Oxyhood
Tent
Trach Collar
Thoracentesis

VENTILATORS:

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CPAP/PEEP/BIPAP
High Frequency Jet Ventilator
Home Ventilator
IMV
Pressure Ventilator
Volume Ventilator
Weaning

RESPIRATORY- CARE OF CHILD WITH:

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Bronchiolitis (RSV)
Pneumonia
Croup
Chronic Respiratory Disease
Status Asthmaticus
Lung Transplant
Epiglottitis
Fresh Tracheostomy
Foreign Body Aspiration
Flail Chest
Hemothorax
Pneumothorax
Respiratory Distress Syndrome (RDS)
Respiratory Failure

MEDICATIONS KNOWLEDGE AND USE OF

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Steroids
Bronchodilators
Racemic Epinephrine

NEURO GENERAL SKILLS

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Glasgow Coma Scale
Neurological Status
Assist with Lumbar Puncture
Seizure Precautions
Intracranial Pressure Monitoring

NEURO- CARE OF CHILD WITH:

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Head Trauma
Post Neurosurgery
Spinal Cord Injury
Status Epilepticus
Coma
Brain Death/Organ Procurement
Encephalitis
Meningitis
Externalized VP Shunt/Reservoirs
Neuromuscular Disease

MEDICATIONS KNOWLEDGE AND USE OF

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Mannitol
Sedatives
Anticonvulsants

GASTROINTESTINAL GENERAL SKILLS

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Abdominal Assessment
Interpretation of Lab Results- Serum Electrolytes
Feedings (Storage and Prep of)
Bottle
Breast
Gavage
TPN
PPN

GASTROSTOMY/BUTTON:

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J-Tubes
NG to Suction
Placement of Naso/Orogastric Tube
Test for Occult Blood

GASTROINTESTINAL- CARE OF CHILD WITH:

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Anal Fissure
Cleft Lip/Palate
New Colostomy
New Ileostomy
Diaphragmatic Hernia
Severe Failure to Thrive (FTT)
Pyloric Stenosis Repair
GE Reflux
GI Bleeding
Crohn’s Disease
Ulcerative Colitis
Severe Gastroenteritis/Dehydration
Intestinal Parasites
Necrotizing Enterocolitis (NEC)
Surgical Abdomen
Liver Transplant
Small Bowel Transplant

MEDICATIONS KNOWLEDGE AND USE OF

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Antiemetics

RENAL/GENITOURINARY GENERAL SKILLS

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Interpretation Of Lab Results (UA/BUN/Creatinine):
Test Urine and Interpret
Glucose
Labstix
Occult Blood
pH
Specific Gravity

COLLECTION OF URINE SPECIMENS:

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Assist with Suprapubic Tap
Catheter
Diaper/Bag
Insertion & Care Of Straight And Foley Catheter:
Suprapubic

RENAL/GENITOURINARY- CARE OF CHILD WITH:

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Acute Renal Failure
CAVH
Peritoneal Dialysis
Hemodialysis
Hemolytic Uremic Syndrome (HUS)
Nephritis
Nephrotic Syndrome
Renal Tansplant
Syndrome Inappropriate ADH (SIADH)

ENDOCRINE/METABOLIC GENERAL SKILLS

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Electrolyte Balance
Blood Glucose Testing
Knowledge of Lab work-Thyroid Studies

ENDOCRINE/METABOLIC- CARE OF CHILD WITH:

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Diabetes Mellitus
Diabetic Ketoacidosis
Diabetic Coma
Hyper/Hypocalcemia
Hyperbilirubinemia
Thyroid Dysfunction

MEDICATIONS KNOWLEDGE AND USE OF

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Growth Hormone
Insulin
Thyroid Medications

ORTHOPEDICS GENERAL SKILLS

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Specialized Orthopedic Bed

ORTHOPEDICS- CARE OF CHILD WITH:

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Cervical Traction
Pinned Fractures
Post Vertebral Surgery

WOUND MANAGEMENT

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Assessment Of Skin Status:
Stasis Ulcers
Surgical Wound Healing
Air Fluidized, Low Airloss Beds
Sterile Dressing Changes
Wound Care/Irrigations
JP
Penrose
Hemovac

BURNS:

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First Degree
Second Degree
Third Degree
Pressure sores
Staged Decubitus Ulcers
Surgical Wounds with Drain(s)
Traumatic Wounds

ONCOLOGY GENERAL SKILLS

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Reverse Isolation
Nutritional Status

INTERPRETATION OF LAB RESULT:

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Blood Chemistry
Blood Counts

ONCOLOGY- CARE OF CHILD WITH:

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Malignant Tumors
Fresh Oncologic Surgery
Acute Tumor Lysis Syndrome
Leukemia
Bone Marrow Transplant
Disseminated Intravascular Coagulation
Inpatient Chemotherapy
Radiation Implant

MEDICATIONS KNOWLEDGE AND USE OF

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Chemotherapeutic Agents

INFECTIOUS DISEASES GENERAL SKILLS

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Interpretation Of Lab Results:
Cultures (Including Sensitivities)
CBC/differential (shift)

OBTAIN CULTURE SPECIMENS:

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Blood
Swab
Urine
Sputum

INFECTIOUS DISEASES- CARE OF CHILD WITH:

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Cytomegalovirus (CMV)
HIV/AIDS
Septic Shock
Tuberculosis
Hepatitis
Common Childhood Communicable Diseases

PHLEBOTOMY/IV THERAPY

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Peripheral IV Insertion, Care and Maintenance
Central Line Care and Maintenance
PICC Line Care and Maintenance
Drawing Blood from Central Line/PICC Line
Drawing Venous Blood
Administration Of Blood/Blood Products:
Cryoprecipitate
Packed Red Blood Cells
Whole Blood

PHLEBOTOMY/IV- CARE OF CHILD WITH:

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Central Line
Port-A-Cath
PICC
Cutdown Line
Peripheral Line
Arterial Line

PAIN MANAGEMENT GENERAL SKILLS

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Assessment- Pain Level Using Age Appropriate Scales

PAIN MANAGEMENT- CARE OF CHILD WITH:

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Epidural Analgesia
PCA
IV Conscious Sedation

MEDICATION KNOWLEDGE AND USE OF

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Analgesics
Sedatives
Reversal Agents

MISCELLANEOUS

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Normal Growth And Development:
Normal Laboratory Values
Recognize Signs of Abuse or Neglect

MISCELLANEOUS- CARE OF CHILD WITH:

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Anorexia/Bulimia
Craniofacial Reconstruction
Depression
HEENT Surgery
Ingestion of Foreign Body
Ingestion of Poison or Toxins
Plastic Surgery
Suicide Attempt
Multiple Trauma
Near Drowning

MEDICATION ADMINISTRATION FOR CHILDREN

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Calculation of Pediatric Doses
Titration of IV Drips
Eye/Ear Installations
Metered Dose Inhaler
Intravenous Medications (IV)
Subcutaneous (SQ) Injections
Z Track Injections
Knowledge of Emergency Drug Action and Reaction
Pediatric Drug Actions and Reactions

Position Category

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Total Years of Experience

First Name

Last Name

Social Security #

Date of Birth

Email

Phone

Attestation

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified, particularly within the last 2 years. I hereby authorize Alliant Personnel Resources (The Company) to collect, store, and release any information that I have provided in this Skills Checklist and/or any other documentation and information they have collected or that I have submitted in any form to its parent company(s), its subsidiaries, or other subcontractors/its service providers as it deems necessary in its business operations as well as to individuals and companies in relation to consideration of employment as a Healthcare Professional with those companies and individuals. I acknowledge that The Company will take precaution and care to protect my personal information that is collected/stored/shared but cannot guarantee permanent data security and I release The Company from all related liability for damages or punitive liability.

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Skills Checklist - Pediatric Intensive Care